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NPI 1720502586

NPI 1720502586 : SHEILA S CARNEY DPT : PETAL, MS

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General NPI Number Information
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    NPI Number           |    1720502586
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    Entity Type          |    Individual 
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    Provider Name        |    SHEILA S CARNEY DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/02/2017
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    Last Update Date     |    05/30/2025
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Provider Practice Location Address
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    Address Line         |    1229 HIGHWAY 42 STE 260 
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    City                 |    PETAL
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    State                |    MS
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    Zip                  |    39465-2786
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    Country              |    US
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    Telephone            |    601-909-2925
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1200 CORPORATE DR STE 400 
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    City                 |    HOOVER
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    State                |    AL
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    Zip                  |    35242-5424
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    Country              |    US
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    Telephone            |    423-238-7217
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT6267
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    License Number State |    MS
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